| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $4,897.79 | $5,128.61 | |
Aetna
| Professional | $263.03 | $1,862.09 | $8,912.51 | |
Health Alliance Plan
| Facility | $1,148.15 | $2,041.74 | $5,128.61 | |
Health Alliance Plan
| Professional | $436.52 | $501.19 | $676.08 | |
United
| Facility | $186.21 | $794.33 | $1,737.80 |